Laserfiche WebLink
FORWARD NON HA7&DOUS WASTE MANIFEST <br />WASTE TR MENT AND DISPOSAL FACILITY <br />1NC. <br />JOB ACCEPTANCE NO.93 '615 <br />GENERATOR _ <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />FF ZZ� SERVE OF CALIF.,, <br />MAILIN�i�pD13FT�S5 <br />❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br />❑TY-VEK ❑OTHER <br />CITY, STA-F�, ZBIPX 922021 `. --. <br />SPECIAL HANDLING PROCEDURES: <br />HOUSTON,_TEXAS 77292-2021 <br />PHONE <br />13� 684-4312 _ <br />CONT P RSON <br />MR JIN SHIFLET <br />SIG T E OF AUTHORIZED AGENT/ TITLE DATE <br />WASTE TYPE <br />RECEIVING FACILITY <br />❑ SLUDGE <br />Ej TREATMENT SOIL <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />❑ DISPOSAL SOIL <br />❑ CONSTRUCTION SOIL <br />❑ WOOD <br />❑ ASH <br />9999 SOUTH AUSTIN ROAD <br />_ <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY <br />239 S. STOCKTON ST. <br />(209) 982-1009 FAX <br />RIPON;;] CA <br />NAME <br />NOTES: TRUCK NUMBER <br />RICH HAMILTON TRUCKING <br />ADDRESS <br />+� <br />1336 PAULINE AVE. <br />LAOD #7 <br />•CITY, STATE, ZIP <br />]MODESTO,CA 95353 <br />END DUMP BOTTOM DUMP TRANSFER <br />PHONE - - - <br />202) 578-4100 <br />URE OF AUTHORIZED <br />- , ❑ 1:1_ ElSIGNA <br />AGENT OR DRIVER DATE <br />ROLL-OFF(S) FLAT-BED VAN DRUMS <br />y <br />❑ El 11 El7C <br />/� 1 - I . C.�, <br />FORWARD INC. LANDFILL <br />CUBIC YARDS ; <br />Forward shall have no obligation to accept the waste if weather or other <br />15 C. YDS <br />conditions impair the safe and effective disposal of the waste or if the waste <br />impairs the safe and effective operation of the Landfill. Forward shall use <br />DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br />reasonable efforts to promptly notify Disposer of its inability to accept the <br />DISPOSE BIO AERATE OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on <br />_ ISMCKPILE <br />I <br />weather or other site conditions, Forward shall notify the Disposer when site <br />rE SOIL <br />conditions are expected to change such that Forward will be able to accept <br />❑ SLUDGE <br />the waste. <br />REMARKS <br />❑ NON-FRWBLE <br />- ""' <br />FACILITY TICKET NUMBER <br />Asaesros <br />❑ WOOD <br />SIGNATt1RE OF AUTHORIZED AGNT y. DATE <br />_� <br />❑ ASH <br />❑ OTHER <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO <br />EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST <br />BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />TO SCHEDULE CALL (209) 982-4298 <br />MANIFEST #14736 <br />